babli
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A 76-year-old man with history of progressive exertional chest pain is found to have prominent jugular “a” waves, a powerful apical systolic murmur with a loud systolic click, and a prominent S4. The systolic murmur is transmitted to the carotid arteries.
A. Acquired ventricular septal rupture
B. Aortic regurgitation
C. Aortic stenosis
D. Mitral regurgitation
E. Mitral stenosis
F. Mitral valve prolapse
G. Papillary muscle dysfunction
H. Tricuspid regurgitation
I. Tricuspid stenosis
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| srf
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| babli
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AS is correct.Symptomatic aortic stenosis is often seen in the seventh or eighth decade, when increased pressure load results in exertional angina. The stenotic aortic valve damps the left ventricular ejection into the aorta, leading to weak carotid pulses. Concentric left ventricular hypertrophy renders the ventricle noncompliant and results in a prolonged systolic murmur that is transmitted to carotids.
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